On September 18, 2017, Century Pharmacy (Century), Brooklyn, New York, entered into a $10,000 settlement agreement with OIG. The settlement agreement resolves allegations that Century employed an individual who was excluded from participating in any Federal health care programs. OIG’s investigation revealed that the excluded individual, who assisted in filling prescriptions in addition to performing…
Read MoreOn September 15, 2017, Sundance Behavioral Healthcare System (Sundance), Texas, entered into a $49,183.48 settlement agreement with OIG. The settlement agreement resolves allegations that Sundance employed an individual who was excluded from participating in any Federal health care programs. OIG’s investigation revealed that the excluded individual, a licensed vocational nurse, provided items or services to…
Read MoreOn August 11, 2017, ASAP Professional Home Health (ASAP), Houston, Texas, entered into a $21,797.76 settlement agreement with OIG. The settlement agreement resolves allegations that ASAP employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, an attendant, provided items or services to ASAP…
Read MoreOn June 20, 2017, Linton Square Pharmacy & Medical Supplies, Inc. (Linton Square), Delray Beach, Florida, entered into a $339,956.05 settlement agreement with OIG. The settlement agreement resolves allegations that Linton Square employed an individual who was excluded from participating in any Federal health care programs. OIG’s investigation revealed that the excluded individual, a pharmacist,…
Read MoreOn November 30, 2016, Ditmas Park Rehab/Care Center (Ditmas Park), Brooklyn, New York, entered into a $205,089.22 settlement agreement with OIG. The settlement agreement resolves allegations that Ditmas Park employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a licensed practical nurse, provided…
Read MoreOn August 31, 2016, Lifechek 336 Pharmacy, LLC, Lifechek Staff Services, Inc., and Bruce Gingrich (collectively, “Lifechek”), Texas, entered into a $30,000 settlement agreement with OIG. The settlement agreement resolves allegations that Lifechek employed an individual who was excluded from participating in any Federal health care program. OIG’s investigation revealed that the excluded individual, a…
Read MoreOn October 17, 2017, MHMR of Tarrant County (MHMR), Fort Worth, Texas, entered into a settlement agreement with OIG. The settlement agreement resolves allegations that MHMR employed an individual who was excluded from participation in any Federal health care programs. OIG’s investigation revealed that the excluded individual, a program director, provided items or services to…
Read MoreExpert Analysis By Judith Waltz and Jill Wright, Foley & Lardner LLPJanuary 30, 2017, 12:34 PM EST Law360, New York (January 30, 2017, 12:34 PM EST) — On Jan. 12, 2017, the Office of Inspector General of the U.S. Department of Health and Human Services issued the third and final installment of its recent three-part rulemaking effort — a final rule…
Read MoreHere are a few reasons to conduct exclusion monitoring. 1. Healthcare organizations cannot employ an excluded individual or entity if participating in any Federal healthcare program, to do so will result in fines. 2. Several State Medicaid Agencies have their own state exclusion list. 3. Several State Medicaid Regulations require monthly exclusion monitoring. 4. Per…
Read MoreNovember 15, 2016 A New Jersey OB/GYN, Labib Riachi, agreed to be excluded from participation in Federal health care programs, including Medicare and Medicaid, for 20 years to settle allegations by the U.S. Department of Health and Human Services, Office of Inspector General (OIG), that Dr. Riachi submitted thousands of claims for Pelvic Floor Therapy…
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